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COMPLETE <br /> ■ Complete items 1,2,and 3. A. S• <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. 1 ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B e by Grin d Na e) C. Date of Delivery <br /> or on the front if space permits. 1</70 ---?) <br /> 1. Article P-''--'`-- D. Is delivery address different fr m item 1? ❑Yes <br /> If YES,enter delivery addrerA below: ❑No <br /> !htimissioners <br /> rose County --I <br /> 317 South 2nd Street <br /> Montrose, CO 81401 <br /> II I'lll'I III(�I I I I I I I( I I T11111111 <br /> I I I 11111 3. Service Type 13 Priority Mail Express® <br /> ❑Adult Signature (3 Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Reg+ivery <br /> sterd Mail Restricted <br /> 9590 9402 5506 9249 0528 89 ❑Certified Mail Restricted Delivery ❑Retu n Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'm <br /> ❑Insurd Mad 0 Signature Confirmation <br /> 7 019 2280 0001 8254 8531 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />